Commissioners must start redesigning services to ensure real savings, MPs say

BMJ 2013; 346 doi: (Published 20 March 2013) Cite this as: BMJ 2013;346:f1820
  1. Gareth Iacobucci
  1. 1BMJ

A reliance on reductions in hospitals’ price tariffs to drive NHS efficiency savings is offering commissioners a “cop-out” from redesigning services and will not improve the effectiveness and quality of NHS healthcare, MPs have warned.

In a report launched on 19 March, the Commons health select committee said changes in tariff payments did not constitute true “efficiency savings” and would result in efficiency gains for the NHS only if providers changed the way care was delivered as a result.

The committee’s chair, Stephen Dorrell, said tariff reductions merely served to transfer responsibility away from commissioners, who should be taking centre stage in the “process of service re-imagination.”

The committee’s annual report into public expenditure on health and social care services highlighted that the government had achieved the …

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